Basic Information
Provider Information
NPI: 1750709028
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUNN
FirstName: ANDREW
MiddleName: LINDSEY JACKSON
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 ELMWOOD AVENUE
Address2: URMC BOX 626
City: ROCHESTER
State: NY
PostalCode: 14642
CountryCode: US
TelephoneNumber: 5852753191
FaxNumber: 5852733637
Practice Location
Address1: 601ELMWOOD AVENUE
Address2: UNIVERSITY OF ROCHESTER MEDICAL CENTER
City: ROCHESTER
State: NY
PostalCode: 14642
CountryCode: US
TelephoneNumber: 5852753191
FaxNumber: 5852733637
Other Information
ProviderEnumerationDate: 04/02/2014
LastUpdateDate: 01/25/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X291045NYY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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